Clinical therapeutic effect of myofascial release technique in the treatment of spasm of lower limb after stroke
Objective To explore the therapeutic effect and electrophysiological mechanism of myofascial release(MFR)technique in the treatment of lower limb spasm after stroke.Methods 80 patients with post-stroke hemiplegia were selected as the research subjects and randomly divided into the observation group and the control group,with 40 cases in each group.The control group receive routine Bobath rehabilitation therapy,and the observation group received MFR treatment on the basis of the treatment of the control group.The improvement of the muscular tension of lower limb flexion muscle groups before and after rehabilitation treatment was compared between two groups,and evaluated by modified Ashworth Scale(MAS),Clinical Spasm Index(CSI),Fugl-Meyer Assessment-Lower Extremity(FMA-LE)and modified Baethel index(MBI).The surface electromyography(sEMG)of two groups was analyzed,and the root mean square(RMS)values of the rectus femoris,hamstring,tibialis anterior and gastrocnemius muscles at different rehabilitation time periods were compared.The correlation between the changes of RMS values and spasticity and function of the lower limbs was analyzed.Results After rehabilitation treatment,compared with before rehabilitation,MAS scores and CSI decreased in both groups,and the observation group was significantly lower than the control group(P＜0.05).After rehabilitation treatment,FMA-LE scores and MBI of both groups improved.The score of the observation group significantly improved(P＜0.05).The RMS values of the lower limb muscles in both groups showed the significant increase trend(P＜0.05),and there was the statistically significant difference in RMS values of the lower limb muscles in the second week after rehabilitation,and the RMS values of the hamstring,tibialis anterior,and gastrocnemius muscles in the observation group were significanly higher than those in the control group(P＜0.05).At the 4th and 6th week of rehabilitation,the RMS values of the rectus femoris,hamstring,tibialis anterior,and gastrocnemius muscles in the observation group were significantly higher than those in the control group(P＜0.05).The RMS values changes of lower limb muscles in the observation group were negatively correlated with MAS scores and CSI(P＜0.05),and positively correlated with FMA-LE scores and MBI(P＜0.05).Conclusion MFR technique can significantly improve lower limb muscle tone and enhance lower limb function in patients with lower limb spasticity after stroke,and functional changes are closely related to the enhancement of lower limb muscle electromyographic signals.
万方数据
维普
